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NPI Code Detail

MEDICARE: AMY M O'CONNELL PA-C

MEDICARE: AMY M O'CONNELL PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant50001584OH

General Provider Information

NPI Number : 1427025386
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY M O'CONNELL PA-C
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-685-2805
Fax Number :
Provider Business Practice Location Address
First Line : 765 N HAMILTON RD
Second Line : STE. 255
City : GAHANNA
State : OH
Zip : 43230-8703
Country : US
Telephone Number : 614-337-9100
Fax Number : 614-337-0024
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 02/03/2026

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Directions to “ AMY M O'CONNELL PA-C” Practice Location

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